JP3218010U - Preventive device for pelvic organ prolapse - Google Patents

Abstract

Disclosed is a pelvic organ prolapse prevention device that can be easily attached and detached by a patient and that can prevent stress urinary incontinence. A pelvic organ prolapse prevention device 10 which is inserted into a vagina and is expanded and fixed inside, and is formed into a thin cylindrical shape made of a flexible material, and has a large diameter cylindrical portion on the near side 11 and the back side large diameter cylinder part 12 are formed, and the front side large diameter cylinder part 11 and the back side large diameter cylinder part 12 are connected by a small diameter connection part cylinder part 13, and the front side large The front end of the diameter cylinder portion 11 has an opening 14, and the end portion on the back side of the rear large diameter cylinder portion 12 is formed with an end plate portion 16 having a hole 15 at the center. The urinary tract securing concave portions 17 and 18 and the rectal securing concave portions 19 and 20 are formed at positions sandwiching the central axis from the outer periphery to the inner side in the portion 11 and the back side large diameter cylindrical portion 12, respectively. Yes. [Selection] Figure 1

Description

  The present invention relates to a device for preventing pelvic organ prolapse and stress urinary incontinence.

  Pelvic organ prolapse is a disease with the symptoms that muscles and ligaments that support the bottom of the pelvis loosen due to aging and childbirth, and internal organs such as the uterus, bladder, and large intestine escape. Pelvic organ prolapse cannot be treated with drugs and can be repaired by surgery, or a vaginal interior such as a ring pessary as a contraceptive can be attached to return the prolapse to its original position (patented) Reference 1).

  Patent Document 2 discloses a ring pessary for treating uterine prolapse or uterus to suppress the uterine prolapse or uterine droop while supporting the lower uterus, the ring pessary including a resin ring, and the outer diameter of the resin ring 5 to 9 cm, the load required to compress the outer diameter to 2 cm is 2 to 10 N, and the outer dimension of the resin ring 30 seconds after unloading is 70% of the outer diameter of the resin ring. The ring pessary characterized by the above is described.

  Patent Document 3 discloses a cervical cap that covers a portion of the cervix, which is disposed between the dome, the rim, and the open end, and between the dome and the rim, and at the open end. A raised section extending along the perimeter of the inner surface of the adjacent cap, the raised section having at least first and second raised portions projecting inwardly from the inner surface; A cervical cap is described wherein the raised section is adapted to grasp the outer surface of the cervix when the cap is placed over a portion of the cervix.

Special table 2009-513215 WO2015 / 041353 Japanese National Patent Publication No. 3-500611

  However, surgery is a burden on the patient and the vaginal interior needs to be replaced at a medical institution once every few months. In addition, the type with the equipment attached to the outside cannot be used unless underwear is attached, and a public bath such as a hot spring cannot be used when taking a bath. Furthermore, patients who exhibit such symptoms may develop stress urinary incontinence, and at the same time, it is desirable to prevent stress urinary incontinence.

  Moreover, the thing of patent document 2 and patent document 3 has the problem of compressing a urethra and a rectum at the time of mounting | wearing.

  The present invention has been made in view of the above circumstances, and can be easily attached and detached by the patient himself without squeezing the urethra and rectum, and can reliably prevent pelvic organ prolapse and stress urinary incontinence. It aims to provide a preventive device that can be used.

  The device according to claim 1, which solves the above-mentioned problem, is a pelvic organ prolapse prevention device that is inserted into the vagina and is expanded and fixed inside, and is formed into a thin cylindrical shape with a flexible material, Arranged between the near-side large-diameter tube portion located on the near side, the back-side large-diameter tube portion located on the back-side, and the near-side large-diameter tube portion and the back-side large-diameter tube portion when inserted into the body A front end of the front large-diameter cylindrical portion is open, and a rear end of the rear large-diameter cylindrical portion is formed with an end plate portion having a hole in the center. The urinary tract securing concave portion and the rectal securing concave portion are formed at positions sandwiching the central axis from the outer periphery to the inner side in the front large diameter cylindrical portion and the rear large diameter cylindrical portion, respectively. This is a device for preventing pelvic organ prolapse.

  According to the present invention, the preventive device inserted into the vagina in a contracted state can be expanded in the body to fix the preventive device in the vagina. Thus, the preventive device can be inserted and fixed in the vagina by the patient's own operation, the pelvic organ can be prevented from falling off the vagina, and the bladder can be held to prevent stress urinary incontinence.

  In addition, since the front end of the front large-diameter portion of the prevention device is open, and the end portion of the front large-diameter cylindrical portion is formed with an end plate portion having a hole in the center, secretion from the vagina The thing is discharged from the hole through the opening, and it is possible to prevent the secretion from accumulating in the vagina. Furthermore, a urinary tract securing recessed portion and a rectal securing recessed portion are formed at positions sandwiching the central axis from the outer periphery toward the inside in the front large diameter cylindrical portion and the back large diameter cylindrical portion, respectively. So there is no pressure on the urethra and rectum.

Similarly, the invention described in claim 2 is the pelvic organ prolapse prevention device according to claim 1, wherein the device is formed of a silicone resin.
According to the present invention, the preventive device for pelvic organ prolapse is harmless to the human body and is made of a stable silicone resin, so that it can be used safely without adversely affecting the human body.

Similarly, the invention described in claim 3 is the device for preventing pelvic organ prolapse according to claim 1, wherein the inner side of the end plate part of the back large-diameter cylindrical part is squeezed from the outside toward the hole part. It is characterized by being formed in a conical shape.
According to the present invention, the vaginal secretion is guided along the substantially conical inner surface from the hole of the end plate portion, and it is possible to prevent the secretion from accumulating in the vagina.

  Similarly, the invention according to claim 4 is the pelvic organ prolapse prevention device according to claim 1, wherein the thickness of the small-diameter connecting cylinder is determined by the front-side large-diameter cylinder and the back-side large-diameter cylinder. It is characterized by being smaller than the wall thickness dimension.

  According to the present invention, the wall thickness dimension of the small diameter connecting cylinder part is smaller than the wall thickness dimension of the front large diameter cylinder part and the back large diameter cylinder part. Can be inserted.

Similarly, the device described in claim 5 is characterized in that, in the pelvic organ prolapse prevention device according to claim 1, the whole is integrally formed.
According to this invention, the said instrument main body is comprised integrally as a whole, and there is no joint. For this reason, filth does not collect at the seam, cleaning and disinfection can be performed well, and cleanliness is achieved.

  According to the device for preventing pelvic organ prolapse according to the present invention, the pelvic organ prolapse is inserted in a contracted state, sealed with fluid and fixed in the vagina to prevent pelvic organ deviation and stress urinary incontinence. It can be prevented, and it can be easily attached and detached by yourself, it does not compress the urethra and rectum, and it can be used in public baths etc. is there.

  That is, according to the preventive device for pelvic organ prolapse according to claim 1, the preventive device inserted in the vagina in a contracted state can be expanded in the body, and the preventive device can be fixed in the vagina. Thus, the preventive device can be inserted and fixed in the vagina by the patient's own operation, the pelvic organ can be prevented from falling off the vagina, and the bladder can be held to prevent stress urinary incontinence.

  In addition, since the front end of the front large-diameter portion of the prevention device is open, and the end portion of the front large-diameter cylindrical portion is formed with an end plate portion having a hole in the center, secretion from the vagina The thing is discharged from the hole through the opening, and it is possible to prevent the secretion from accumulating in the vagina. Furthermore, a urinary tract securing recessed portion and a rectal securing recessed portion are formed at positions sandwiching the central axis from the outer periphery toward the inside in the front large diameter cylindrical portion and the back large diameter cylindrical portion, respectively. So there is no pressure on the urethra and rectum.

  In addition, according to the preventive device for pelvic organ prolapse according to claim 2, the preventive device for pelvic organ prolapse is harmless to the human body and is made of a stable property silicone resin. And can be used safely.

  According to the preventive device for pelvic organ prolapse according to claim 3, vaginal secretions are guided along the substantially conical inner surface from the hole of the end plate part and discharged well, and the secretions enter the vagina. Can be saved.

  Furthermore, according to the preventive device for pelvic organ prolapse according to claim 4, the thickness dimension of the small diameter connecting cylinder part is smaller than the thickness dimension of the near side large diameter cylinder part and the back side large diameter cylinder part, The preventive device can be easily deformed and inserted into the vagina.

  Moreover, according to the pelvic organ prolapse prevention device according to claim 5, the device body is integrally formed as a whole and has no seams. For this reason, filth does not collect at the seam, cleaning and disinfection can be performed well, and cleanliness is achieved.

BRIEF DESCRIPTION OF THE DRAWINGS The pelvic organ prolapse prevention instrument which concerns on embodiment of this invention is shown, (a) is a longitudinal cross-sectional view of a prevention instrument, (b) is a top view of a prevention instrument. The preventive device of the pelvic organ prolapse is shown, (a) is a side view of the preventive device, and (b) is a perspective view of the preventive device. It is a cross-sectional schematic diagram of a human body showing a wearing state of the pelvic organ prolapse prevention device.

  A pelvic organ prolapse prevention device according to an embodiment for carrying out the present invention will be described. FIG. 1 shows a preventive device for pelvic organ prolapse according to an embodiment of the present invention. (A) is a longitudinal sectional view of the preventive device, (b) is a plan view of the preventive device, and FIG. 2 is a pelvic organ prolapse device. FIG. 3A is a side view of the preventive device, FIG. 3B is a perspective view of the preventive device, and FIG. 3 is a schematic cross-sectional view of a human body showing a wearing state of the preventive device for pelvic organ prolapse It is.

  As shown in FIG. 3, the pelvic organ prolapse prevention device 10 according to the present embodiment is inserted into the vagina 31 in a collapsed and contracted state, and is expanded and fixed inside the vagina 31. To restore. As a result, the pelvic organ prolapse prevention device 10 is fixed in the vagina 31 to prevent the pelvic organs such as the uterus 32, the bladder 33, and the rectum 34 from falling off and to prevent stress urinary incontinence. Hereinafter, the “prophylactic device 10 for preventing pelvic organ prolapse” may be simply referred to as “preventive device 10”.

  As shown in FIG. 1, the preventive device 10 is a thin cylindrical member made of a flexible material, preferably a silicone resin. The preventive instrument 10 is formed with a front-side large-diameter cylindrical portion 11 and a back-side large-diameter cylindrical portion 12. Further, a small-diameter connection portion cylinder portion 13 is formed between the front-side large-diameter cylinder portion 11 and the back-side large-diameter cylinder portion 12 to connect them. Since the silicone resin is harmless to the human body and has a stable property, the preventive device 10 can be used safely without adversely affecting the human body.

  Further, in the preventive device 10, the front side end portion of the front side large-diameter cylindrical portion 11 includes an opening 14 that is wide open. On the other hand, in the preventive instrument 10, the end plate 16 having a hole 15 at the center is formed at the back end of the back large diameter cylindrical portion 12. Further, in the front-side large-diameter cylindrical portion 11, a urethra securing concave portion 17 and a rectal securing concave portion 19 are formed at positions sandwiching the central axis from the outer periphery toward the inside. Similarly, in the back-side large-diameter cylindrical portion 12, a urethra securing concave portion 18 and a rectal securing concave portion 20 are formed at positions sandwiching the central axis from the outer periphery toward the inside. By providing the recessed portions 17 and 18 for securing the urethra, the pressure of the urethra can be prevented, and the pressure of the rectum can be prevented by the recessed portions 19 and 20 for securing the rectum.

  Furthermore, in the preventive instrument 10 according to the present embodiment, the wall thickness dimension of the small-diameter connection portion cylinder portion 13 is smaller than the wall thickness dimensions of the near-side large-diameter cylinder portion 11 and the back-side large-diameter cylinder portion 12. Thereby, deformation | transformation and folding of the preventive instrument 10 can be made easy, and the insertion in a vagina can be made easy.

  Further, in the preventive instrument 10 according to the present embodiment, the inner side surface 21 of the end plate portion 16 of the back-side large-diameter cylindrical portion 12 has a substantially conical shape that narrows toward the hole portion 15. Thereby, the secretion of the vagina is smoothly guided from the hole 15.

  The preventive instrument 10 according to the present embodiment is configured as a seamless integrated shape by shaping a silicone resin. For this reason, there is no seam in the preventive device 10, no dirt is collected in the seam, cleaning and disinfection can be performed well, and the preventive device 10 can be kept clean.

  The preventive instrument 10 has, for example, the outer diameters d1 and d2 of the front-side large-diameter cylindrical portion 11 and the rear-side large-diameter cylindrical portion 12 are about 90 mm, the inner diameter d3 of the small-diameter connection portion cylindrical portion 13 is about 30 mm, d6 is about 10 mm, the overall height h1 is about 50 mm, the height h2 of the front large-diameter cylindrical part 11 is about 11.2 mm, and the dimension h3 to the center position of the small-diameter connecting part cylindrical part 13 is about 25 mm large on the near side The thickness t1 of the diameter cylindrical portion 11 can be about 10 mm, the thickness t2 of the back side large diameter cylindrical portion 12 can be about 15 mm, and the thickness t3 of the small diameter connecting portion cylindrical portion 13 can be about 3 mm. Each dimension can be appropriately changed. Plural types with different overall heights h1, outer diameters of the front side large diameter cylindrical part 11 and rear side large diameter cylindrical part 12, etc., for example, ones different by 0.5 cm, are suitable for the patient. Can be selected.

  As shown in FIG. 3, the preventive device 10 which has been deformed and reduced in diameter as a whole is inserted into the vagina 31, and restored and fixed. In a state where the preventive device 10 is fixed to the vagina 31, the bladder 33 is located between the front large-diameter tube portion 11 and the back large-diameter tube portion 12, and the contraction of the bladder by the preventive device 10 can be prevented.

  In addition, the urethra securing recess 17 of the front large-diameter cylindrical portion 11 and the urethra securing recess 18 of the back large-diameter cylindrical portion 12 are positioned in the urethra when the preventive device 10 is fixed in the vagina 31. Placed in. Thereby, it is possible to prevent the urethra from being compressed with the preventive device 10.

  Similarly, the rectal securing concave portion 19 of the front large-diameter cylindrical portion 11 and the rectal securing concave portion 20 of the back large-diameter cylindrical portion 12 are arranged so that the rectum 34 is secured when the preventive device 10 is fixed in the vagina 31. It is arranged at the position. Thereby, it is possible to prevent the rectum 34 from being pressed with the preventive device 10.

  The preventive device 10 according to the present embodiment has a cylindrical shape, and the opening 14 and the hole 15 communicate with each other. Thereby, the secretion from the back can be discharged | emitted from the preventive instrument 10 in the state in which the preventive instrument 10 was inserted.

  In order to attach the preventive device 10 according to the present embodiment to the vagina 31, the preventive device 10 is reduced as shown in FIG. Then, the preventive instrument 10 in a reduced state is inserted into the vagina 31 with the back-side large-diameter cylindrical portion 12 on the back side and disposed at a predetermined position. A cylindrical mounting aid (applicator) or the like can be used for mounting the preventive device 10.

  The inserted preventive device 10 is expanded by its own elasticity, and the preventive device 10 is fixed in the vagina 31 in this state.

  Thereby, the preventive instrument 10 can be fixedly held in the vagina 31 to prevent pelvic organ deviation and stress urinary incontinence. Further, the preventive device 10 can be easily attached and detached by the patient himself, and when the preventive device is mounted, the preventive device does not need to be exposed to the outside or use other equipment such as underwear. For this reason, a public bath or the like can be used with the preventive device 10 worn.

  As described above, the device for preventing pelvic organ prolapse according to the present invention is inserted into the vagina in a contracted state, sealed with fluid, held in a predetermined shape and fixed in the vagina, and pelvic organ deviation or stress urinary incontinence The device can be easily attached and detached by yourself, and when the preventive device is attached, the preventive device is not exposed to the outside, so it can be used in public baths and can be used industrially. There is sex.

10: Preventive device for pelvic organ prolapse 11: Front side large-diameter tube portion 12: Back side large-diameter tube portion 13: Small-diameter connection portion tube portion 14: Opening portion 15: Hole portion 16: End plate portion 17: Concavity for securing the urethra Part 18: Recessed part for securing the urethra 19: Recessed part for securing the rectum 20: Recessed part for securing the rectum 21: Inner side surface 31: Vagina 32: Uterus 33: Bladder 34: Rectum

Claims (5)

A pelvic organ prolapse prevention device that is inserted into the vagina and expanded and fixed inside,
It is made of a flexible material into a thin-walled cylinder,
Arranged between the near-side large-diameter tube portion located on the near side, the back-side large-diameter tube portion located on the back-side, and the near-side large-diameter tube portion and the back-side large-diameter tube portion when inserted into the body With a small-diameter connecting cylinder,
The front side end portion of the front side large diameter cylindrical portion is opened, and the back side end portion of the back side large diameter cylindrical portion is formed with an end plate portion having a hole in the center,
In the front large-diameter cylindrical portion and the back large-diameter cylindrical portion, a concave portion for securing the urethra and a concave portion for securing the rectum are formed at positions sandwiching the central axis from the outer periphery toward the inner side, respectively. A device for preventing pelvic organ prolapse.   The pelvic organ prolapse prevention device according to claim 1, wherein the pelvic organ prolapse prevention device is formed of a silicone resin.   The pelvic organ prolapse prevention device according to claim 1, wherein an inner side of the end plate portion of the back-side large-diameter cylindrical portion is formed in a substantially conical shape that sinks toward the hole portion.   The pelvic organ prolapse prevention device according to claim 1, wherein a wall thickness dimension of the small diameter connecting cylinder part is smaller than a wall thickness dimension of the near side large diameter cylinder part and the back side large diameter cylinder part.   The pelvic organ prolapse prevention device according to claim 1, wherein the entire device is integrally formed.